GLASGOW COMA SCALE
EYE OPENING
Spontaneous
To Verbal Command
To Pain
No Response
4
3
2
1
VERBAL RESPONSE
Oriented & Converses
5
Disoriented & Converses 4
Inappropriate wods
3
Incomprehensible Sounds 2
No Response
1
MOTOR RESPONSE
Obeys verbal commands
6
Localizes pain
5
Withdrawls from pain (flexion)
4
Abnormal flaxion in response to pain (decotyicate rigidity) 3
Extension in response to pain (decerebrate rigidity)
2
No response
1
a score of 8 or less indicates severe alteration in brain function
BASELINE VITALS
Breathing (respiration), Blood Pressure, Pulse, Pupils, Skin
BREATHING RATES
Adults & Adolescents 11-16 Years
School Aged Children 6-10 Years
Prechoolers & todlers 1-5 Years
Infants 6 Months - 1 Year
Infant 30 Days - 5 Months
Newborn - 30 Days
12-20bpm
15-30bpm
20-30bpm
20-30bpm
25-40bpm
30-60bpm
MNEUMONICS
S.A.M.P.L.E.
O.P.Q.R.S.T.
Symptoms
Allergies
Medications
Pertinant Past History
Last Oral Intake
Events
Onset
Provocation/Palliation
Quality
Radiation
Severity
Time
A.V.P.U
DCAP-BTLS
Alert
Vocal Stimuli
Painful Stimuli
Unresponsive
Deformities
Contusions
Abrasions
Punctures/Penetrations
Burns
Tenderness
Lacerations
Swelling
D.O.P.E.
Displacement
Obstruction
Pneumothorax
Equipment failure
C.H.A.R.T.
Chief Complaint
History
Assessment
Rx - (treatment provided)
Transport
C.H.E.A.T.E.D.
Chief Complaint
History
Exam
Assessment
Treatment
Evaluation
Disposition
S.O.A.P.
Subjective
Objective
Assessment
Plan
Adults = Less than 8 - VENTILATE. If more than 24 VENTILATE some more.
STANDARD ABBREVIATIONS
a ------before
c ------with
NTG--nitroglycerin
O2 ---- oxygen
OB---- obstetrics
p------after
PE ----physical exam
-------pulmonary embolism
po ---- orally, by mouth
Pt-----patient
q------ every
QID --4 times a day
R/O---rule out
Rx ----prescription
s ------without
s/s ----signs/sysmptoms
SIDS--sudden infant
------- death syndrom
SL ----sublingual
SOB --shortness of breath
STAT-immediately
Sx ----symptoms
TIA ---transient ichemic attack
TID ---3 times a day
TKO --to keep open
Tx-----treatment
X------times
y/o ---years old
-----increased
----- decreased
FORMULAS
MINUTE VOLUME
O2 TANK VOLUME
Minute volume (MV) =
Respiratory Rate (f) X
Tidal Volume (VT)
MV = f • (VT)
D cylinder - 350 liters
E cylinder - 625 liters
M cylinder - 3,000 liters
G cylinder - 5,300 liters
H cylinder - 6,900 liters
ALL AT 2,000 PSI WHEN FULL
MEDICAL TERMINOLOGY
combining form + suffix = word or
prefix + Combining form + suffix = word
Example:
combining form + combining form + suffix = word
my/o- + cardi/o- + -al = myocardial
(muscle) + (heart) + pertaining to)
= (pertaining to heart muscle)
CONSTANTS PER CYLINDER
D = 0.16 G = 2.41
E = 0.28
H = 3.14
M = 1.56 K = 3.14
FORMULA
(PSI - 200) times Constant
devided by LPM
= Minutes of O2 left